NPI | 1518000116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.121737) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P20611) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2013-08-27 |