NPI | 1326070020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301510750) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 166756) |
207WX0107X Ophthalmology, Retina Specialist (Licence: NY 166756) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2024-03-15 |