NPI | 1073629994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 204011) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 204011) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2024-05-31 |