NPI | 1568575389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0016996) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101044148) |
207W00000X Ophthalmology (Licence: DC MD9847) | |
Enumeration Date | 2006-08-16 |
Last Update Date | 2008-10-23 |