| NPI | 1780664367 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: PA MD-043936L) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD043936L) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-11-18 |