NPI | 1487914099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NV 17007) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NV 17007) |
Enumeration Date | 2012-05-17 |
Last Update Date | 2020-07-30 |