| NPI | 1093815656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 19324) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 34.011139) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NH 19324) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2020-04-21 |