| NPI | 1548219934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 38767) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CO 0064496) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-06-01 |