NPI | 1134123565 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: SD 2349) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: ND 4569) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2015-01-28 |