| NPI | 1942447016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: OR MD187431) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD187431) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2021-02-20 |