| NPI | 1649709213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-51969) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD473176) |
| 207W00000X Ophthalmology (Licence: CA A180288) | |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: IA MD-51969) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: IA MD-51969) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-09-19 |