NPI | 1679500995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 20850) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 20850) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2007-07-09 |