NPI | 1780995993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: UT 14063472-1205) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA MD-41651) |
207W00000X Ophthalmology (Licence: WA MD60625861) | |
Enumeration Date | 2010-06-23 |
Last Update Date | 2025-04-16 |