NPI | 1457311839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101032050) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0021492) |
207W00000X Ophthalmology (Licence: DC MD12609) | |
Enumeration Date | 2006-03-28 |
Last Update Date | 2009-12-08 |