NPI | 1235321167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 261709) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 261709) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2017-07-11 |