| NPI | 1912097544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA G150659) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 5714168-1205) |
| 207W00000X Ophthalmology (Licence: CA G150659) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-03-21 |