NPI | 1043219066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 28726) |
Additional Taxonomies | 174400000X Specialist (Licence: CO 28726) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2020-09-06 |