| NPI | 1316914070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 236245) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 19364) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NM MD2022-0906) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2023-07-12 |