| NPI | 1356048714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: TX 48653) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX 48653) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TX 48653) | |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2025-04-30 |