NPI | 1275536971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0051444) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD-039313-E) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2012-09-28 |