| NPI | 1972781805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CO DR.0057088) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A103905) |
| 207W00000X Ophthalmology (Licence: NC 2013-00499) | |
| 207W00000X Ophthalmology (Licence: CO DR.0057088) | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2023-10-23 |