| NPI | 1073318929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.153212) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OH 35.153212) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: ZZ 032417) | |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-05-13 |