| NPI | 1467838094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: UT 11598920-1205) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD193060) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2020-07-14 |