| NPI | 1417938804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301068728) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MI 4301068728) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2020-11-20 |