NPI | 1942648902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301117177) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 44282) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2022-07-18 |