| NPI | 1003072018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: AZ 54397) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL MD34227) |
| 207W00000X Ophthalmology (Licence: NY 273302-1) | |
| 207W00000X Ophthalmology (Licence: DE C10009377) | |
| 207W00000X Ophthalmology (Licence: PA MT192252) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2018-06-01 |