NPI | 1821031980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: FL ME66425) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME66425) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2017-11-08 |