NPI | 1033155338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO R2F29) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 04-22313) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2019-09-17 |