| NPI | 1205248077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: SC 37699) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 37699) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2022-10-20 |