NPI | 1740244201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: GA 048488) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 48488) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2019-03-07 |