NPI | 1013597947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL MFC1839) |
Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: FL 1839) |
Enumeration Date | 2021-04-14 |
Last Update Date | 2021-06-01 |