NPI | 1669451951 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0051788) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD438329) |
Enumeration Date | 2006-01-13 |
Last Update Date | 2012-09-28 |