NPI | 1699902346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX Q1008) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301109051) |
207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301109051) | |
Enumeration Date | 2009-06-19 |
Last Update Date | 2021-12-29 |