| NPI | 1366649345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2012-00451) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC MMD.29951 MD) |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: NC 2012-00451) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2024-08-12 |