| NPI | 1962893461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME135134) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME135134) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2020-01-06 |