NPI | 1124372776 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 34702) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036081363) |
207W00000X Ophthalmology (Licence: OK 11945) | |
Enumeration Date | 2012-11-05 |
Last Update Date | 2012-11-05 |