NPI | 1801874896 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME76183) |
Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: FL ME76183) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2020-04-19 |