NPI | 1811007313 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MS D7311) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL 00008686) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-12-31 |