NPI | 1164728044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX P3302) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 5101017963) |
Enumeration Date | 2011-02-10 |
Last Update Date | 2023-05-10 |