| NPI | 1831461029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD464344) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD46344) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA MD464344) | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2020-10-26 |