NPI | 1538427471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: VA 0101264037) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101264037) |
207W00000X Ophthalmology (Licence: WV 32145) | |
207WX0107X Ophthalmology Retina Specialist (Licence: WV 32145) | |
Enumeration Date | 2012-04-29 |
Last Update Date | 2025-06-12 |