| NPI | 1396163929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0060178) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: CO DR.0060178) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2021-09-03 |