| NPI | 1063808996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D89915) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD467347) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA MD467347) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-10-04 |