NPI | 1962407791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 13632) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: AR N7179) |
207W00000X Ophthalmology (Licence: MS 15012) | |
207WX0107X Ophthalmology Retina Specialist (Licence: AR N7179) | |
207WX0107X Ophthalmology Retina Specialist (Licence: MS 15012) | |
207WX0107X Ophthalmology Retina Specialist (Licence: TN 13632) | |
Enumeration Date | 2005-06-17 |
Last Update Date | 2017-04-26 |