NPI | 1669436143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: GA 041558) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 041558) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2019-03-08 |