NPI | 1033351689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A135262) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 258700) |
207WX0107X Ophthalmology, Retina Specialist (Licence: CA A135262) | |
Enumeration Date | 2009-03-28 |
Last Update Date | 2024-07-13 |