NPI | 1538334933 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 024916) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 24916) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2016-09-15 |