| NPI | 1437716883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 100356) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4351044819) |
| 207W00000X Ophthalmology (Licence: UT 14203251-1205) | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: CO DR.0070565) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2025-07-02 |