NPI | 1134568199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 271035) |
Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: MA 271035) |
207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: MA 271035) | |
Enumeration Date | 2013-06-22 |
Last Update Date | 2020-04-24 |