NPI | 1083806541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA C170726) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX P5187) |
Enumeration Date | 2007-08-17 |
Last Update Date | 2021-01-27 |