NPI | 1104310192 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NE 35687) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 35687) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2024-01-18 |