| NPI | 1144296674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: MO 2022042486) |
| Additional Taxonomies | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: KS 04-46941) |
| 207W00000X Ophthalmology (Licence: WI 33915) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2022-11-16 |