NPI | 1902434244 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A194255) |
Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A194255) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2024-07-01 |