NPI | 1700346756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MI 4301509771) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301509771) |
Enumeration Date | 2019-03-24 |
Last Update Date | 2024-01-17 |