NPI | 1346431087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD436524) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT186766) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2009-06-24 |