NPI | 1285615369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 27314) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 9400509) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2024-07-01 |