NPI | 1023109956 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: CA G29165) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G29165) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2020-04-20 |