| NPI | 1770927212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 51662) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 32807) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: SC 51662) | |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2021-01-13 |