NPI | 1689662751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 035393) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 200300015) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2015-08-12 |