| NPI | 1386636843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CO 34013) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 34013) |
| 207W00000X Ophthalmology (Licence: CO 34013) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2018-03-28 |