NPI | 1619998036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0032998) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD16346) |
207W00000X Ophthalmology (Licence: VA 0101038912) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2008-01-16 |