| NPI | 1285772160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 27694) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 2005-01293) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OK 27694) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2026-06-29 |