NPI | 1144251356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME90466) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME90466) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2022-09-02 |