NPI | 1477680098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0024551) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 17526) |
208600000X Surgery (Licence: MD D0024551) | |
208600000X Surgery (Licence: IA 17526) | |
208D00000X General Practice (Licence: MD D0024551) | |
208D00000X General Practice (Licence: IA 17526) | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2007-07-08 |