NPI | 1164908869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: WI 81609-20) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 81609) |
Enumeration Date | 2018-07-16 |
Last Update Date | 2023-07-28 |