NPI | 1942274808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101058703) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0025073) |
207W00000X Ophthalmology (Licence: VA 0101058703) | |
207W00000X Ophthalmology (Licence: DC MD31522) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0025073) | |
Enumeration Date | 2006-02-15 |
Last Update Date | 2017-07-07 |