NPI | 1730573973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX U3737) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX U3737) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2023-09-25 |