NPI | 1740640960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: CA A185178) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A185178) |
208D00000X General Practice (Licence: IN 01079780A) | |
Enumeration Date | 2016-03-01 |
Last Update Date | 2024-10-16 |