NPI | 1013127075 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OR MD29182) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO BB4745785) |
207W00000X Ophthalmology (Licence: OR MD29182) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2025-07-08 |