NPI | 1356548861 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OR MD22167) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD22167) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2025-07-14 |