NPI | 1093161655 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: VA 0101271206) |
Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MN 67035) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2022-06-16 |