| NPI | 1881878262 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A88101) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A88101) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2025-01-27 |