| NPI | 1164877031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: CO DR.0072676) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 287077) |
| 207W00000X Ophthalmology (Licence: CO DR.0072676) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2024-10-02 |