NPI | 1881665453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX L0604) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TX L0604) |
Enumeration Date | 2006-01-31 |
Last Update Date | 2007-07-08 |