| NPI | 1164908869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: WI 81609-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 81609) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2023-07-28 |