NPI | 1093244790 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101276312) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301504403) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2022-10-05 |