NPI | 1790071140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM MD2016-0188) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD171553) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2024-10-22 |