NPI | 1912970815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NC 9501600) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 9501600) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2024-05-31 |