| NPI | 1700833951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA 141299) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D60540) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: CA 141299) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-02-20 |