NPI | 1033704358 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY FL072) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA LT000931) |
207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: FL 32181) | |
207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: KY FL072) | |
Enumeration Date | 2021-03-08 |
Last Update Date | 2024-07-17 |