| NPI | 1316984255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA C176269) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TN 38610) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CO 45548) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-03-17 |