NPI | 1124079959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: WI 45942) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 45942) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2016-04-12 |