NPI | 1972534253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: CA G845350) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G845350) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2008-06-16 |