NPI | 1700043643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 203516) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 62138) |
Enumeration Date | 2008-05-19 |
Last Update Date | 2010-04-07 |