NPI | 1467784389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A140370) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 073956) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2021-12-06 |