NPI | 1568478402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G83967) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G83967) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-04-30 |