NPI | 1700844206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 227431) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 227431) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2018-11-01 |