NPI | 1326428533 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 302791) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066242) |
207W00000X Ophthalmology (Licence: GA 82826) | |
Enumeration Date | 2015-06-03 |
Last Update Date | 2023-01-06 |