NPI | 1811384282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036159824) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 1811384282) |
207W00000X Ophthalmology (Licence: OH 35.135844) | |
207W00000X Ophthalmology (Licence: IA MD-47095) | |
Enumeration Date | 2015-04-23 |
Last Update Date | 2022-10-13 |