| NPI | 1447347554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: FL ME157398) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN MD37304) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2023-02-21 |