NPI | 1538123161 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 00982) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 9800982) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2020-11-17 |