NPI | 1083970628 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.142154) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101254759) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2023-10-10 |