NPI | 1932173739 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD017251E) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA03501600) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2007-07-08 |