NPI | 1528422268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2022-00882) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 2022-00882) |
Enumeration Date | 2016-04-08 |
Last Update Date | 2022-06-21 |