NPI | 1669907911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61252434) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD204184) |
Enumeration Date | 2017-04-25 |
Last Update Date | 2023-01-31 |