NPI | 1598095085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: TX CE00007) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX CE00007) |
Enumeration Date | 2010-01-05 |
Last Update Date | 2025-10-07 |