NPI | 1497853162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00046321) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: ID M9653) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2019-09-27 |