| NPI | 1750407839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: GA 055255) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 055255) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-10-13 |