| NPI | 1417044280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A108857) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2004011762) |
| 207W00000X Ophthalmology (Licence: FL ME99224) | |
| 207W00000X Ophthalmology (Licence: CA A108857) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-03-18 |