| 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 | 2025-11-24 |