| NPI | 1932107000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: KS 0430679) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 115111) |
| 207W00000X Ophthalmology (Licence: KS 0430679) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: MO 115111) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2021-04-05 |