| NPI | 1497953673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 69266) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA R-7993) |
| 207W00000X Ophthalmology (Licence: IA 38923) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: IA 38923) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2024-03-13 |