| NPI | 1467481796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TN 12829) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 12829) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-12-14 |