NPI | 1750463469 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO R7D82) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 0521009) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2015-02-23 |