NPI | 1548498447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 28001) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE TEP 6012) |
207W00000X Ophthalmology (Licence: NC 2013-01027) | |
Enumeration Date | 2009-06-30 |
Last Update Date | 2014-07-09 |