NPI | 1184067498 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: ID M-15230) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 67198) |
207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NV 18691) | |
Enumeration Date | 2013-04-17 |
Last Update Date | 2022-07-21 |