NPI | 1780611814 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CO 44412) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 44412) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2018-03-28 |