NPI | 1225167919 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD27236) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A85913) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2021-11-01 |