NPI | 1346243714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CO 41243) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 41243) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2019-04-25 |