NPI | 1922072966 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A78100) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A78100) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2021-05-12 |