| NPI | 1457371486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: LA MD.0649R) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 06496R) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-07-16 |