NPI | 1659383149 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A64671) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A64671) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2020-10-14 |