| NPI | 1730181090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: TN MD48847) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN MD48847) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: KY 38136) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2017-03-23 |