NPI | 1982232542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A195178) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076524) |
207W00000X Ophthalmology (Licence: IL 125.076524) | |
207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A195178) | |
Enumeration Date | 2020-03-30 |
Last Update Date | 2024-06-06 |