| NPI | 1649273947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MI 4301068609) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 34089) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: IA 34089) | |
| 207W00000X Ophthalmology (Licence: WI 45989-020) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: WI 45989-020) | |
| 207W00000X Ophthalmology (Licence: MI 4301068609) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2026-06-03 |