| NPI | 1598261018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.147996) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OH 35.147996) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: OH 35.147996) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-04-03 |