| NPI | 1467784389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A140370) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 073956) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2021-12-06 |