NPI | 1710023411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101262516) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD T1822) |
207W00000X Ophthalmology (Licence: TX P0530) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: TX p0530) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2019-02-17 |