| NPI | 1962453241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MO 2014008010) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2014008010) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2026-06-03 |