NPI | 1447465406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC MD32317) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 233555) |
207W00000X Ophthalmology (Licence: GA 61766) | |
Enumeration Date | 2007-05-13 |
Last Update Date | 2022-07-26 |