| NPI | 1295963999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: AR E-8612) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 5341) |
| 207W00000X Ophthalmology (Licence: AR E-8612) | |
| 207R00000X Internal Medicine (Licence: MO T2009017030) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2022-06-14 |