NPI | 1841976412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: SC AL93116) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC AL93116) |
Enumeration Date | 2023-06-27 |
Last Update Date | 2024-08-14 |