| NPI | 1497985642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 27845) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: NE 27845) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2020-09-02 |