NPI | 1992863443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA G17270) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G17270) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2024-04-04 |