NPI | 1912968371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 49461) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 039169) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2017-07-27 |