NPI | 1881648038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX M9977) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101237522) |
207W00000X Ophthalmology (Licence: MD D0062707) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: TX m9977) | |
Enumeration Date | 2006-05-20 |
Last Update Date | 2017-03-27 |