| NPI | 1437684750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: OR MD204348) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD204348) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2022-09-21 |