| NPI | 1932348034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 2077-320) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME148892) |
| 207W00000X Ophthalmology (Licence: MD D74241) | |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2022-11-30 |