| NPI | 1720041718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 49643) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: GA 49643) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2024-06-28 |