NPI | 1578609962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D67740) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD P18478) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2013-02-19 |