| NPI | 1912298878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX R6453) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2016-01419) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NC 2016-01419) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2020-08-12 |