| NPI | 1760877120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A164497) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A164497) |
| 207W00000X Ophthalmology (Licence: VA 0101285625) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2025-04-04 |