NPI | 1285154500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D96954) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272403) |
207W00000X Ophthalmology (Licence: MA 288579) | |
Enumeration Date | 2017-06-27 |
Last Update Date | 2023-08-29 |