NPI | 1679531974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A84941) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A84941) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2019-03-29 |