NPI | 1356886782 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OR MD215419) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD215419) |
Enumeration Date | 2016-12-20 |
Last Update Date | 2025-07-17 |