NPI | 1740389279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL 00014412) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 033554) |
207W00000X Ophthalmology (Licence: OH 35051354) | |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-07-08 |