NPI | 1225177009 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 201770) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 42067) |
207WX0009X Ophthalmology, Glaucoma Specialist (Licence: LA 201770) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2017-05-31 |