NPI | 1245893866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX U4008) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX U4008) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2025-10-07 |