NPI | 1417059908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: PA MD044284E) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD044284E) |
Enumeration Date | 2006-09-04 |
Last Update Date | 2021-03-25 |