| NPI | 1164625018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CO DR.0053681) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX N6866) |
| 207W00000X Ophthalmology (Licence: CO DR.0053681) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2019-01-24 |