NPI | 1285781179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0072713) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD039813) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2011-09-30 |