| NPI | 1891139929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX R3001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10046413) |
| 207W00000X Ophthalmology (Licence: TX R3001) | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2018-06-04 |