| NPI | 1003159880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OH 35131374) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35131374) |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2021-02-17 |