NPI | 1558339747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA G52144) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G52144) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2020-08-21 |