NPI | 1073772398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 30196) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD445114) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2024-10-31 |