NPI | 1063420974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A40547) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A40547) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2021-11-10 |