NPI | 1609860766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 33335) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0000064) |
Enumeration Date | 2005-09-06 |
Last Update Date | 2013-07-11 |