| NPI | 1093035487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD171620) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: OR MD171620) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2018-12-18 |