NPI | 1952375586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 235084) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 235084) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2020-01-21 |