NPI | 1598846321 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD431192) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 57-008295) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2008-05-07 |