NPI | 1023298643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME103859) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A96195) |
Enumeration Date | 2007-11-12 |
Last Update Date | 2013-05-28 |