| NPI | 1285723452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: CO DR.0048762) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 48762) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-09-01 |