| NPI | 1265881809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2021-00483) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 85048) |
| 207W00000X Ophthalmology (Licence: IL 125069078) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NC 2021-00483) | |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2021-03-31 |