NPI | 1861830119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD466664) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD466664) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2025-09-17 |