| NPI | 1083857015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2014-01554) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC MD37528) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NC 2014-01554) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: SC MD37528) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2023-01-12 |