NPI | 1598714909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 25642) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0097046) |
207W00000X Ophthalmology (Licence: VA 0101240205) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2023-06-08 |