| NPI | 1295769040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME 39766) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME 37966) |
| 208600000X Surgery (Licence: FL ME 39766) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-10-09 |