NPI | 1821201351 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A120894) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2009008059) |
207W00000X Ophthalmology (Licence: IL 036125717) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2013-02-18 |