NPI | 1770870446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A136640) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A136640) |
Enumeration Date | 2011-07-01 |
Last Update Date | 2023-06-26 |