| NPI | 1447261466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME38745) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME0038745) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-04-18 |