NPI | 1598298895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME154232) |
Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME154232) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2024-01-29 |