| NPI | 1821383738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: VA 0101266518) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0079734) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-07-21 |