| NPI | 1871768051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 54016) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX P5806) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX P5806) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2024-06-10 |