NPI | 1639338627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 303835-01) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01070387A) |
Enumeration Date | 2008-06-04 |
Last Update Date | 2023-05-12 |