NPI | 1831361690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME127344) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 22805) |
207W00000X Ophthalmology (Licence: LA MD205040) | |
Enumeration Date | 2008-04-01 |
Last Update Date | 2020-06-01 |