| NPI | 1205827540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: SD 17841) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MI 4301036790) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2025-12-26 |