NPI | 1235181108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: OR MD22460) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD22460) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2018-05-16 |