| NPI | 1164540712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: DC MD035648) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD035648) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-02-18 |