| NPI | 1164520714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G68583) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA G68583) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA G68583) | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CA G68583) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-06-13 |