| NPI | 1861649238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A110408) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A110408) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2020-10-19 |