NPI | 1770014219 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A172206) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271608) |
Enumeration Date | 2017-03-26 |
Last Update Date | 2021-09-29 |