| NPI | 1043256811 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX N8222) | 
| Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: TX N8222) | 
| Enumeration Date | 2006-06-21 | 
| Last Update Date | 2025-10-07 |