NPI | 1689610321 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0037020) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D37020) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2011-07-07 |