| NPI | 1720243082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: CA A120510) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A120510) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2023-12-22 |