NPI | 1982629937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 229157) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME92822) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2008-06-09 |