NPI | 1003293093 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A161470) |
Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A161470) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2021-12-17 |