NPI | 1447810841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.147616) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074879) |
207W00000X Ophthalmology (Licence: KY 57734) | |
Enumeration Date | 2019-06-18 |
Last Update Date | 2023-04-27 |