NPI | 1841812575 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A192823) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA R-11784) |
Enumeration Date | 2020-05-15 |
Last Update Date | 2024-09-26 |