NPI | 1427097773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD422051) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35087206) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2018-11-29 |