| NPI | 1982808937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX M6803) |
| Additional Taxonomies | 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: TX M6803) |
| 207WX0009X Ophthalmology Glaucoma Specialist (Licence: TX M6803) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2019-03-27 |