| NPI | 1932184082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME42744) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL me42744) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2021-03-22 |