NPI | 1912981598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A78209) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A78209) |
Enumeration Date | 2005-12-06 |
Last Update Date | 2022-04-01 |