NPI | 1023057395 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME98284) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME98284) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2024-06-27 |