NPI | 1578616520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A117865) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A117865) |
Enumeration Date | 2007-01-20 |
Last Update Date | 2022-08-06 |