| NPI | 1700907516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OR MD167098) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD167098) |
| 207W00000X Ophthalmology (Licence: MA 243347) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2018-06-19 |