NPI | 1184736464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME107110) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX BP20023396) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2019-11-13 |