NPI | 1700047453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 072026) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC 204188) |
Enumeration Date | 2008-06-24 |
Last Update Date | 2021-11-22 |