NPI | 1710245824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A161126) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0116024719) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2023-08-16 |