| NPI | 1023103660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: CA G32851) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G32851) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-01-23 |