| NPI | 1093753824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: FL 50719) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME50719) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-07-12 |