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 |