NPI | 1629530191 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CO DR.0072473) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO DR.0072473) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2024-07-08 |