| NPI | 1962023846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD484661) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA MD484661) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2024-06-27 |