NPI | 1144438987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A106892) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A106892) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2024-03-21 |