NPI | 1609844687 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A52949) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A52949) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2020-08-21 |