| NPI | 1679730758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.095387) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX N3173) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OH 35.095387) | |
| 207W00000X Ophthalmology (Licence: IL 125-049375) | |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2023-06-02 |