NPI | 1922075076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-41758) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 26368) |
207WX0107X Ophthalmology, Retina Specialist (Licence: IA 41758) | |
Enumeration Date | 2006-03-07 |
Last Update Date | 2019-01-29 |