NPI | 1326071648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2018-02030) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.086275) |
207W00000X Ophthalmology (Licence: WV 24355) | |
208000000X Pediatrics (Licence: OH 35-08-6275) | |
Enumeration Date | 2006-07-09 |
Last Update Date | 2019-07-02 |