NPI | 1013910090 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: OK 3145) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 3145) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2021-02-10 |