| NPI | 1417007691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: TN MD-48141) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA C42705) |
| 207W00000X Ophthalmology (Licence: TN MD-48141) | |
| 208200000X Plastic Surgery (Licence: CA C42705) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-02-12 |