| NPI | 1417938713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX H1574) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: TX H1574) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2019-02-28 |