| NPI | 1871094110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME MD28019) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 76892) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: WI 76892) | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2024-09-17 |