| NPI | 1558998328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA MD484318) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD484318) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-07-02 |