NPI | 1235292913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101242468) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101242468) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2024-04-22 |