| NPI | 1578587200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: OR MD153307) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD153307) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OR MD153307) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-10-29 |