| NPI | 1699186155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ND 15600) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: ND 15600) |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2024-04-18 |