NPI | 1811176548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35120897) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.120897) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2018-12-04 |