NPI | 1043370562 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD034337) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101055241) |
207W00000X Ophthalmology (Licence: MD D46263) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-07-08 |