NPI | 1609856426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI MD-21430) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR 176569) |
207W00000X Ophthalmology (Licence: CA C54832) | |
Enumeration Date | 2006-01-18 |
Last Update Date | 2020-10-21 |