NPI | 1821176959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD439951) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL TRN9942) |
207W00000X Ophthalmology (Licence: FL ME103721) | |
Enumeration Date | 2006-11-02 |
Last Update Date | 2024-12-17 |