| NPI | 1295761104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX L3579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L3579) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX L3579) | |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: TX L3579) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX L3579) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-05-28 |