NPI | 1780626986 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD437604) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD26595) |
207W00000X Ophthalmology (Licence: CA A101572) | |
207W00000X Ophthalmology (Licence: NJ 25MA08624900) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2010-06-10 |