NPI | 1134119787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 9600511) |
Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NC 9600511) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2022-03-31 |