| NPI | 1770870446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A136640) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A136640) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2023-06-26 |