| NPI | 1093748766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: CA G53052) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 030809) |
| 207W00000X Ophthalmology (Licence: CA G53052) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-04-04 |