| NPI | 1033161997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: OR MD11369) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD11369) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-03-17 |