| NPI | 1023016656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 14353) |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: NE 14353) |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: NE 14353) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-09-01 |