NPI | 1699955450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: LA MD.201744) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA MD.201744) |
Enumeration Date | 2007-11-09 |
Last Update Date | 2023-10-02 |