NPI | 1215935754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 19347) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 33427) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2007-07-08 |