| NPI | 1952369399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G84806) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA MD.10523R) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-07-19 |