NPI | 1467951814 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2023-01172) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL 18657) |
207W00000X Ophthalmology (Licence: FL OS18657) | |
Enumeration Date | 2018-02-12 |
Last Update Date | 2025-08-20 |