| NPI | 1649768532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CO DR.0068135) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 11412466-1205) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2022-05-20 |