NPI | 1104264514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI MD20850) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 28486) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2024-06-13 |