| NPI | 1376817999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NY 308276) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX BP20039266) |
| 207W00000X Ophthalmology (Licence: SC 52164) | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TX P9413) | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2024-06-05 |