NPI | 1932362621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0069292) |
Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MD D0069292) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2019-09-20 |