NPI | 1073515912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX K5422) |
Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX K5244) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2021-03-22 |