| NPI | 1912323478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: WA OP61442310) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX R6036) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: TX R6036) | |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2024-12-12 |