NPI | 1255790085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2019-02855) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 139286) |
Enumeration Date | 2016-02-22 |
Last Update Date | 2024-01-16 |