NPI | 1316178452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0078912) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD454769) |
Enumeration Date | 2009-08-06 |
Last Update Date | 2015-07-27 |