| NPI | 1821384694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OR MD171455) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD171455) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2017-07-26 |