| NPI | 1386613438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101237542) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: VA 0101237542) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-11-02 |