NPI | 1275995714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 67072) |
Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MT 98709) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2021-06-21 |