NPI | 1346085461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX V1085) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX V1085) |
Enumeration Date | 2024-06-29 |
Last Update Date | 2025-10-07 |