| NPI | 1023888252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: GA 103769) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 103769) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: GA 00000000) | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2025-07-30 |