NPI | 1184762577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX Q4846) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY R0822) |
207W00000X Ophthalmology (Licence: MD D0066175) | |
207W00000X Ophthalmology (Licence: IA 38424) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: TX Q4846) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2024-08-07 |