NPI | 1982915344 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD176895) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 51281) |
207W00000X Ophthalmology (Licence: KS 9407515) | |
Enumeration Date | 2010-06-30 |
Last Update Date | 2020-07-13 |