NPI | 1003378019 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A187679) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A187679) |
Enumeration Date | 2019-04-01 |
Last Update Date | 2024-05-14 |