NPI | 1134649973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A157451) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A157451) |
Enumeration Date | 2017-06-22 |
Last Update Date | 2024-04-04 |