| NPI | 1588671879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD040571L) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA MD040571L) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-08-13 |