| NPI | 1649831462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TX U9086) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301508741) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-09-12 |