| NPI | 1831358977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A115774) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A115774) |
| 207W00000X Ophthalmology (Licence: TX P0347) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2017-04-05 |