| NPI | 1255650453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A119975) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A119975) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2024-09-03 |