NPI | 1225484462 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD P31586) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301109456) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2016-05-06 |