NPI | 1891857496 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD33270) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101238374) |
207W00000X Ophthalmology (Licence: MD D0061271) | |
Enumeration Date | 2006-12-14 |
Last Update Date | 2021-06-09 |