NPI | 1942428867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX N2649) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT189484) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2014-03-07 |