| NPI | 1912908880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: OR MD27015) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD27015) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2017-12-11 |