NPI | 1306939863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI 5483) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 22869) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |