NPI | 1457670606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2016-00660) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301 096 311) |
Enumeration Date | 2010-05-27 |
Last Update Date | 2018-05-07 |