NPI | 1699156950 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MS 27439) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 209770) |
207W00000X Ophthalmology (Licence: OK 34523) | |
Enumeration Date | 2015-06-12 |
Last Update Date | 2020-07-02 |