NPI | 1275534489 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: ME MD14219) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: ME 014219) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2023-10-12 |