NPI | 1184696346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OR md176865) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 45882) |
207W00000X Ophthalmology (Licence: SC 34419) | |
207W00000X Ophthalmology (Licence: OR MD176865) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2017-06-20 |