NPI | 1265444541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 44773) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NM 80-221) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2024-06-13 |