NPI | 1184917957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL MD.31830) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: AL 31830) |
Enumeration Date | 2011-05-26 |
Last Update Date | 2017-04-10 |