| NPI | 1992949358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: WV 26911) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WV 26911) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2022-04-12 |