| NPI | 1164491593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: OK 21138) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 21138) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: OK 21138) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-07-15 |