| NPI | 1790744860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60836647) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D82497) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: WA MD60836647) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: WA MD60836647) | |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2024-07-30 |