| NPI | 1629272570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: AK 241616) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 617) |
| 207Q00000X Family Medicine (Licence: NE 617) | |
| 207W00000X Ophthalmology (Licence: NE 617) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2026-08-25 |