NPI | 1992709745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: LA MD.05012R) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 05012R) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2020-12-11 |