| NPI | 1548294069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO 26446) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 26446) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CO 26446) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CO 26446) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CO 26446) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-06-10 |