| NPI | 1366703969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA C192192) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA C192192) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2025-03-03 |