NPI | 1871094110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 76892) |
Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: WI 76892) |
Enumeration Date | 2018-02-22 |
Last Update Date | 2022-09-09 |