NPI | 1306163589 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A113083) |
Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A113083) |
207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: CA A113083) | |
Enumeration Date | 2010-04-27 |
Last Update Date | 2021-10-28 |