NPI | 1689644817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A94551) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301085099) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2023-03-07 |