| NPI | 1952370413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX K6165) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX K6165) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2018-04-30 |