| NPI | 1487093688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD464360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA mt203464) |
| 207W00000X Ophthalmology (Licence: TN MD55824) | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TN MD55824) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-12-14 |