| NPI | 1679576920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX G2869) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX G2869) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2021-08-19 |