| NPI | 1396783130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: FL ME069139) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: FL ME069139) |
| 207W00000X Ophthalmology (Licence: FL ME069139) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-09-01 |