NPI | 1114116142 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME111612) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 101244506) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2017-04-06 |