| NPI | 1467913889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX v6006) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX v6006) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MN 82360) | |
| 207W00000X Ophthalmology (Licence: MN 82360) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2026-05-04 |