NPI | 1568457752 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 226139) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 226139) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2023-07-05 |