| NPI | 1194790998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: WA 60271263) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0065903) |
| 207W00000X Ophthalmology (Licence: IN 01054896A) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-11-22 |