NPI | 1891710851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME60065) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME60065) |
207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: FL ME60065) | |
207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: FL ME60065) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2019-06-12 |