| NPI | 1194353029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX V6258) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX V6258) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2026-05-13 |