NPI | 1174839583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2011017310) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL MFC1668) |
Enumeration Date | 2010-08-23 |
Last Update Date | 2015-05-19 |