NPI | 1013974427 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME106417) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 047023) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2018-05-15 |