| NPI | 1710108162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OR MD28180) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD28180) |
| 207W00000X Ophthalmology (Licence: CA A89422) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-04-09 |