| NPI | 1033294152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OH 35093284) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35093284) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2021-01-21 |