NPI | 1275514937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0040750) |
Additional Taxonomies | 174400000X Specialist (Licence: CO DR.0040750) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2019-07-29 |