| NPI | 1467913889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MO 2023025703) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2023025703) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-06-06 |