NPI | 1588168488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD208110) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: OR MD208110) |
Enumeration Date | 2018-03-23 |
Last Update Date | 2025-09-25 |