NPI | 1679014013 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A158123) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A158123) |
Enumeration Date | 2017-03-18 |
Last Update Date | 2024-07-16 |