NPI | 1073670477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA C144368) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 200000279) |
207W00000X Ophthalmology (Licence: CA C144368) | |
Enumeration Date | 2007-01-03 |
Last Update Date | 2024-03-21 |