NPI | 1619491941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: TX 47856) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX 47856) |
Enumeration Date | 2017-07-28 |
Last Update Date | 2023-10-10 |