| NPI | 1740501972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: TX Q8647) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX Q8647) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: AL 33130) | |
| 207W00000X Ophthalmology (Licence: TX BP10037233) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2023-08-09 |