| NPI | 1598385148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CO DR.0075821) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MO 2024009380) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2025-08-08 |