NPI | 1700376209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX V3406) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX V3406) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2024-10-01 |