| NPI | 1194988980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 66739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11014550A) |
| 207W00000X Ophthalmology (Licence: NY 274908) | |
| 207W00000X Ophthalmology (Licence: CO DR.0056977) | |
| 207W00000X Ophthalmology (Licence: IN 11014550A) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-05-03 |