NPI | 1619910544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 9929) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN MD009929) |
207W00000X Ophthalmology (Licence: AR R4424) | |
207W00000X Ophthalmology (Licence: MS 14866) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: MS 14866) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: AR R4424) | |
Enumeration Date | 2006-06-14 |
Last Update Date | 2018-01-15 |