| NPI | 1659341675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CT 033778) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 033778) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2024-06-26 |