NPI | 1962425710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CO DR.0040115) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 40115) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2024-08-02 |