| NPI | 1710633896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CO DR.0077011) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO DR.0077011) |
| Enumeration Date | 2022-02-27 |
| Last Update Date | 2026-07-01 |