| NPI | 1801868088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: AZ 24384) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 24384) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-04-30 |