| NPI | 1215460670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A158630) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A158630) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2025-01-23 |