| NPI | 1942316682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM MD2014-0535) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX J8554) |
| 207W00000X Ophthalmology (Licence: CA A064629) | |
| 207W00000X Ophthalmology (Licence: AR E2486) | |
| 207W00000X Ophthalmology (Licence: TN 42264) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-07-09 |