NPI | 1053818534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2023-00872) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2022027091) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2024-01-22 |