NPI | 1902998776 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 221050) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 221050) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2019-05-10 |