NPI | 1932236700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV 32988) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 18044) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2024-01-16 |