| NPI | 1780848937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A127841) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 67456) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2020-11-11 |