NPI | 1861464323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 61715) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 278622-1) |
207W00000X Ophthalmology (Licence: IN 01054818A) | |
208D00000X General Practice (Licence: MD D85441) | |
207W00000X Ophthalmology (Licence: AK 5655) | |
Enumeration Date | 2006-02-07 |
Last Update Date | 2021-11-12 |