NPI | 1295229342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD481034) |
Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA MD481034) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2023-07-05 |