NPI | 1841381688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA G78517) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G78517) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2017-04-10 |