| NPI | 1457307639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: TX N1386) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A94919) |
| 207W00000X Ophthalmology (Licence: TX N1386) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2017-06-05 |