| NPI | 1306426770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A182226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG204996) |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2023-10-12 |