NPI | 1710959549 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35-058361) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35058361R) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2020-03-25 |