NPI | 1780686766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 22210) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: AZ 22210) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2020-05-21 |