NPI | 1588834691 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0089851) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 237552) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2024-04-01 |