| NPI | 1376833905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: AL MD.35084) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL MD35084) |
| Enumeration Date | 2011-04-16 |
| Last Update Date | 2024-10-12 |