NPI | 1689664872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301028076) |
Additional Taxonomies | 174400000X Specialist (Licence: MI AW028076) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2012-04-19 |