NPI | 1023471901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 11713637-1205) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 32749) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2020-06-08 |