NPI | 1811962400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD20214) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA C50167) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2023-03-07 |