| NPI | 1699882977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: AZ 50866) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 50866) |
| 207W00000X Ophthalmology (Licence: MN 32228) | |
| 207W00000X Ophthalmology (Licence: WI 32143) | |
| 207WX0009X Ophthalmology Glaucoma Specialist (Licence: AZ 50866) | |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: AZ 50866) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2019-05-07 |