NPI | 1659474872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0070213) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD439005) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2015-08-03 |