NPI | 1932106440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD419115) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA07489100) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2007-10-22 |