| NPI | 1306163589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A113083) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A113083) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: CA A113083) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2021-10-28 |