NPI | 1740388453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0067554) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35087900) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2015-09-04 |