NPI | 1548584246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 257854) |
Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: MA 257854) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2018-11-01 |