NPI | 1396743480 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME61697) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME61697) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2021-07-14 |