NPI | 1659310738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI MD16400) |
Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: RI MD16400) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2021-06-30 |