NPI | 1316408974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0100037) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073825) |
207W00000X Ophthalmology (Licence: TX U2938) | |
Enumeration Date | 2019-03-27 |
Last Update Date | 2024-10-04 |