NPI | 1558420661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CA G34389) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G34389) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2022-01-24 |