| NPI | 1376006007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: CA A185526) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A185526) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2024-02-09 |