| NPI | 1124236062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 30940) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: SC 30940) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-06-14 |