NPI | 1295761104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX L3579) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L3579) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX L3579) | |
207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: TX L3579) | |
207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX L3579) | |
Enumeration Date | 2006-06-23 |
Last Update Date | 2023-05-28 |