NPI | 1225128994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A81443) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD60929372) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2022-01-28 |