NPI | 1497769624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI PS066663) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301066663) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2014-03-10 |