NPI | 1356409882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA G74925) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G74925) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2024-04-04 |