NPI | 1902893241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35047094) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301052580) |
Enumeration Date | 2005-10-03 |
Last Update Date | 2009-03-18 |