NPI | 1952340408 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 032337) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC MD 17647) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2017-07-21 |