NPI | 1043449481 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: OR MD175770) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35123349) |
207W00000X Ophthalmology (Licence: KY TP636) | |
207W00000X Ophthalmology (Licence: IN 01073972A) | |
Enumeration Date | 2009-07-07 |
Last Update Date | 2016-08-17 |