NPI | 1770513715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CT 037859) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: RI MD10384) |
207W00000X Ophthalmology (Licence: CT 037859) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: RI MD10384) | |
Enumeration Date | 2006-07-04 |
Last Update Date | 2020-09-28 |