NPI | 1538277330 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 011657) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 11657) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2018-10-17 |