NPI | 1114922366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME40175) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME40175) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2020-07-17 |