NPI | 1407484991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301510962) |
Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: MI 4301510962) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2025-09-09 |