NPI | 1548215007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0067464) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD433493) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2012-09-28 |