NPI | 1417928359 |
---|---|
Other Name | J DANIEL NELSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 23769) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 23769) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2007-07-08 |