NPI | 1588014393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 87529) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: SC 87529) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2024-06-19 |