NPI | 1588125876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CO DR.0075737) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 13315183-1205) |
Enumeration Date | 2019-03-28 |
Last Update Date | 2025-09-30 |