| NPI | 1225133499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0098674) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MD D0098674) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OH 35.125039) | |
| 207W00000X Ophthalmology (Licence: CA A96117) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35.125039) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2026-06-17 |