NPI | 1639153984 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G8227) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G8227) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2024-08-26 |