| NPI | 1851300461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: AZ 35715) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 35715) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-12-28 |