NPI | 1194024935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA Co32402) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA C032402) |
Enumeration Date | 2011-03-18 |
Last Update Date | 2011-03-18 |