| NPI | 1437920329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2023-02021) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NC 2023-02021) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-05-01 |