NPI | 1679660054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 98-01100) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME 69616) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2007-07-08 |