NPI | 1265967590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI 18444) |
Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: RI 18444) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2023-05-16 |