NPI | 1376701391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL MD.30827) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116019362) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2011-04-13 |