| NPI | 1841734027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.147509) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4351044789) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MI 4351044789) | |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2023-04-03 |