NPI | 1033598404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 64822) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301118999) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2021-04-23 |