NPI | 1871055095 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD481172) |
Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: PA MD481172) |
Enumeration Date | 2019-04-05 |
Last Update Date | 2023-07-05 |