NPI | 1568409688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX k3058) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX K3058) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2017-04-25 |