NPI | 1336300458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 51040) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092703) |
Enumeration Date | 2008-06-20 |
Last Update Date | 2012-11-29 |