NPI | 1013259167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OR DO186862) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR DO186862) |
207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OK 6124) | |
Enumeration Date | 2013-03-26 |
Last Update Date | 2020-09-18 |