| NPI | 1043449481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: OR MD175770) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35123349) |
| 207W00000X Ophthalmology (Licence: KY TP636) | |
| 207W00000X Ophthalmology (Licence: IN 01073972A) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2016-08-17 |