NPI | 1033473913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 17065) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 15241) |
207W00000X Ophthalmology (Licence: OH 128338) | |
Enumeration Date | 2012-06-26 |
Last Update Date | 2023-03-31 |