NPI | 1255851952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301506618) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301112664) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2022-12-15 |