| NPI | 1356340210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR md18605) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OR MD18605) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2018-04-05 |