NPI | 1538173646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL 20641) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME167191) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2024-08-22 |