NPI | 1629199096 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL OS13896) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL OS13896) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2024-07-29 |