NPI | 1174559660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME 64480) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME 64480) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2008-10-09 |