| NPI | 1235519877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: VA 0102204795) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD H87447) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-08-14 |