NPI | 1790304459 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.149960) |
Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OH 35.149960) |
Enumeration Date | 2020-04-13 |
Last Update Date | 2024-04-09 |