NPI | 1124599212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX U1668) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX U1668) |
Enumeration Date | 2018-12-16 |
Last Update Date | 2023-06-28 |