NPI | 1427279322 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: CA A106514) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A106514) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2019-02-07 |