NPI | 1548200082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA C41974) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 53565) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2020-10-23 |