NPI | 1871732206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 098887) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2009-02-09 |
Last Update Date | 2015-04-13 |