NPI | 1790783041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00042059) |
Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MO 2024004550) |
207W00000X Ophthalmology (Licence: MO 2024004550) | |
207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: WA MD00042059) | |
Enumeration Date | 2005-07-11 |
Last Update Date | 2024-06-14 |