NPI | 1528007101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35-088072) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.088072) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2020-03-25 |