| NPI | 1437393675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: WI 60069-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 60069-20) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2023-01-12 |