NPI | 1881861789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 250667) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 250667) |
Enumeration Date | 2008-05-11 |
Last Update Date | 2019-05-10 |