NPI | 1043530777 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A130661) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 130661) |
Enumeration Date | 2010-06-04 |
Last Update Date | 2020-10-28 |