NPI | 1417953829 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: WI 43132) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 43132) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2023-03-07 |