NPI | 1891319042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ R78150) |
Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA 194592) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2024-07-03 |