NPI | 1508998576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 76662) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NM MD2023-1594) |
207W00000X Ophthalmology (Licence: UT 6207901-1205) | |
207W00000X Ophthalmology (Licence: TX S4690) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2025-06-02 |