NPI | 1982874509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 010852) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NV 1576) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2024-06-26 |