| NPI | 1679521918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: TN MD11991) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN MD011991) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: KY 17995) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-11-22 |