| NPI | 1609517846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD494969) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: PA MD494969) |
| Enumeration Date | 2022-04-03 |
| Last Update Date | 2026-08-07 |