| NPI | 1568697464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: UT 8684302-8905) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL TRN13466) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2024-01-03 |