NPI | 1144545740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: AL MD.39133) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 266923) |
207W00000X Ophthalmology (Licence: AL MD.39133) | |
207W00000X Ophthalmology (Licence: RI MD15306) | |
Enumeration Date | 2010-04-07 |
Last Update Date | 2021-03-16 |