NPI | 1316903404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX F1946) |
Additional Taxonomies | 174400000X Specialist (Licence: TX F1946) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2024-10-31 |