| NPI | 1417214313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 17092) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A128895) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NV 17092) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A128895) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2022-08-03 |