NPI | 1851740591 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A170928) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10506) |
207W00000X Ophthalmology (Licence: IA R-10506) | |
207W00000X Ophthalmology (Licence: IA MD-47052) | |
Enumeration Date | 2016-06-03 |
Last Update Date | 2022-11-14 |