NPI | 1457353435 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 47806-020) |
Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: WI 47806-20) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2020-10-10 |