| NPI | 1821358490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: ID M-13650) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 9697340-1205) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2023-06-22 |