NPI | 1265437867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35-048833) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 048833) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2021-06-28 |