| NPI | 1801983473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A72027) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 53806) |
| 207W00000X Ophthalmology (Licence: NY 250473) | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 250473) | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: CA A72027) | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: AZ 53806) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2021-05-03 |