NPI | 1568882389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 202000656) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101283509) |
Enumeration Date | 2014-04-19 |
Last Update Date | 2024-11-18 |