NPI | 1396736617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 0030416) |
Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NC 0030416) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2022-04-20 |