NPI | 1285772160 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OK 27694) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 27694) |
208D00000X General Practice (Licence: NC 2005-01293) | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2020-07-15 |