| NPI | 1114953965 |
|---|---|
| Other Name | M SCOTT HICKMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 04-32997) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 0432997) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-07-23 |