| NPI | 1245893866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MD D0096514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10066734) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2023-06-18 |