| NPI | 1396232591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: PR 22299) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD214392) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: PR 22299) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2025-08-18 |