| NPI | 1639533722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2020013460) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OH 35.141198) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2021-06-01 |