NPI | 1467445726 |
---|---|
Other Name | P KEVIN CANON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 0427635) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 112821) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2011-06-21 |