| NPI | 1447781265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: WI 72243) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 72243) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: WI 72243) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-03-12 |