NPI | 1013191584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME MD21434) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA md.201515) |
207W00000X Ophthalmology (Licence: UT 7607529-1205) | |
Enumeration Date | 2007-12-20 |
Last Update Date | 2022-07-21 |