NPI | 1326197047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME23635) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME 23635) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2018-09-12 |