NPI | 1295828374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA MD03856R) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 002586FellowAmAcadem) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |