| NPI | 1942232798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: AZ 15705) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 15705) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-02-24 |