NPI | 1689642290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 31257) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IA 23468) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2019-02-03 |