| NPI | 1437443983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A155532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041526) |
| 207W00000X Ophthalmology (Licence: MO 2017021212) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2018-10-30 |