| NPI | 1780671677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: WI 27890-020) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 27890-020) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2024-04-23 |