NPI | 1205192135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: FL ME123089) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME123089) |
Enumeration Date | 2012-04-04 |
Last Update Date | 2022-11-03 |