NPI | 1841288131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD0000028873) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 049535) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2017-02-27 |