NPI | 1053519447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A108283) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT190663) |
Enumeration Date | 2007-07-06 |
Last Update Date | 2011-07-15 |