NPI | 1447253703 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME 014945) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX D4200) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2010-10-22 |