NPI | 1013129725 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 71281) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.120757) |
207W00000X Ophthalmology (Licence: OH 35.096094) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2017-02-28 |