NPI | 1902090707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D50293) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D50293) |
207W00000X Ophthalmology (Licence: MD D50293) | |
Enumeration Date | 2007-09-05 |
Last Update Date | 2021-05-30 |