NPI | 1609135623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-43387) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A155296) |
Enumeration Date | 2012-05-10 |
Last Update Date | 2018-07-05 |