NPI | 1235109414 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 47292) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 47292) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2007-07-18 |