NPI | 1710443403 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AK 207658) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101271479) |
Enumeration Date | 2019-02-18 |
Last Update Date | 2025-02-27 |