NPI | 1083027346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 81143) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 293780) |
Enumeration Date | 2014-06-04 |
Last Update Date | 2025-05-06 |