| NPI | 1780117945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OH 35.146571) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A173362) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2025-04-15 |