| NPI | 1093798753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 73540) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 3936) |
| 207W00000X Ophthalmology (Licence: CT 043122) | |
| 207W00000X Ophthalmology (Licence: IN 02003130A) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: GA 73540) | |
| Enumeration Date | 2005-11-26 |
| Last Update Date | 2019-01-28 |