NPI | 1427152081 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME77689) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME77689) |
Enumeration Date | 2006-09-12 |
Last Update Date | 2014-12-31 |