| NPI | 1871886408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NM MD2019-0069) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 32190) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OK 32190) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2023-07-13 |