| NPI | 1386886729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: CA A130445) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 130445) |
| 207W00000X Ophthalmology (Licence: TN 49904) | |
| 208000000X Pediatrics (Licence: CA 130445) | |
| 208000000X Pediatrics (Licence: TN MD49904) | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2020-04-20 |