NPI | 1265554729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0052276) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.124705) |
207W00000X Ophthalmology (Licence: WY 9452A) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2024-08-20 |