NPI | 1669479325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME66712) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME66712) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2018-04-27 |