| NPI | 1134353444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: CA 20A15051) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL OS11326) |
| 207W00000X Ophthalmology (Licence: NM A-1745-13) | |
| 207W00000X Ophthalmology (Licence: CA 20A15051) | |
| 207W00000X Ophthalmology (Licence: IA 4303) | |
| 207W00000X Ophthalmology (Licence: OK 4701) | |
| 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: CA 20A15051) | |
| 208000000X Pediatrics (Licence: CA 20A15051) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2025-08-13 |