NPI | 1467542951 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 50222) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: AR R-3937) |
207W00000X Ophthalmology (Licence: CA A43764) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2024-01-15 |