NPI | 1780799684 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL 28466) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN MD0000039812) |
207W00000X Ophthalmology (Licence: AL MD28466) | |
207W00000X Ophthalmology (Licence: GA 056275) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2023-04-12 |