NPI | 1255498366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE C1-0008191) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD435384) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2020-07-08 |