NPI | 1073603973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD040942) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A91185) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2021-11-19 |