NPI | 1902830268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME 6967) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 36238) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2022-07-21 |