NPI | 1578513024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME87934) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A86777) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2016-11-28 |