NPI | 1265404503 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: AZ 16283) |
Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: AZ 16283) |
207W00000X Ophthalmology (Licence: AZ 16283) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2019-05-07 |