NPI | 1023031788 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME71875) |
Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME71875) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2024-05-08 |