| NPI | 1144214461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NH 6873) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NH 6873) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2017-08-16 |