| NPI | 1598127995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: KS 04-44753) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA MD-47011) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2021-11-08 |