| NPI | 1821452145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TX S6809) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX S6809) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2022-12-01 |