NPI | 1184983025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VT 042.0016538) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D31508) |
Enumeration Date | 2012-05-13 |
Last Update Date | 2023-02-10 |