NPI | 1891730073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A65262) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL 18266) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2024-05-20 |