| NPI | 1437539533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A153671) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AR E-13598) |
| 207W00000X Ophthalmology (Licence: TX U0349) | |
| 207W00000X Ophthalmology (Licence: MA 279077) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2023-12-19 |