| NPI | 1528161403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: CT 035828) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 035828) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NY 329389-01) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2024-10-24 |