NPI | 1548222557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101231244) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 010123124) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2022-03-08 |