NPI | 1346690682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A179336) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110094) |
207W00000X Ophthalmology (Licence: IL 036.151847) | |
Enumeration Date | 2016-06-17 |
Last Update Date | 2022-09-29 |