NPI | 1033157623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 201701307) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2004033186) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2021-04-27 |