NPI | 1750968723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CO DR.0074975) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO DR.0074975) |
Enumeration Date | 2021-03-25 |
Last Update Date | 2025-06-02 |