| NPI | 1881072569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: DE C1-0013791) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD467352) |
| 207W00000X Ophthalmology (Licence: DE C1-0013791) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA MD467352) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2020-08-26 |