NPI | 1881856672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301094287) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD P19869) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2009-06-30 |