NPI | 1376923144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 33365) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA R-10298) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2022-10-06 |