NPI | 1457714081 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: CO DR.0066497) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A168469) |
207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: SD 13218) | |
Enumeration Date | 2016-03-31 |
Last Update Date | 2022-03-17 |