NPI | 1518027036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD19685) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME59871) |
207W00000X Ophthalmology (Licence: MD D0043365) | |
207W00000X Ophthalmology (Licence: VA 0101048340) | |
207W00000X Ophthalmology (Licence: CA G86158) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2011-11-14 |