NPI | 1124077359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 65583) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME118634) |
207W00000X Ophthalmology (Licence: LA 304969) | |
207W00000X Ophthalmology (Licence: TN 65583) | |
207W00000X Ophthalmology (Licence: AL 28562) | |
Enumeration Date | 2006-05-06 |
Last Update Date | 2025-09-30 |