NPI | 1043213424 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 27278) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 16280) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2008-04-17 |