NPI | 1881653749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 011264) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 15827) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2012-10-23 |