NPI | 1023040714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA a87565) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 240221) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2012-03-01 |