NPI | 1568492965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 40931) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN MD41061) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-10-23 |