| NPI | 1891057980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: SC LL34811) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: SC LL34811) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2024-06-19 |