NPI | 1124346648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 32575) |
Additional Taxonomies | 208600000X Surgery (Licence: SC MMD.32575 LL) |
Enumeration Date | 2010-05-07 |
Last Update Date | 2020-10-15 |