NPI | 1154705796 |
---|---|
Former Name | MOHAMMADREZA RAZEGHINEJAD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD462972) |
Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: PA MD462972) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2019-11-06 |