NPI | 1538143037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 25524) |
Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MI 4301069798) |
207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NC 25524) | |
207W00000X Ophthalmology (Licence: MI 4301069798) | |
Enumeration Date | 2005-11-30 |
Last Update Date | 2025-09-04 |