| NPI | 1558781955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 080345) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: GA 80345) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2023-10-31 |