NPI | 1932423605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60540667) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 8995573-1205) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2024-07-30 |