NPI | 1598260655 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A194866) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD d93753) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2024-07-02 |