| NPI | 1932215316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI MD007784) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI RI7784) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-05-19 |