| NPI | 1326351727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 9073398-1205) |
| Additional Taxonomies | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: UT 9073398-1205) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2020-04-20 |