| NPI | 1275942096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: OH 75.000057) |
| Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: OH 75.000057) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2025-06-20 |