NPI | 1548234313 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: NC 2009-00355) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2009-00355) |
207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: FL ME100129) | |
207W00000X Ophthalmology (Licence: MN 46912) | |
207W00000X Ophthalmology (Licence: FL ME100129) | |
Enumeration Date | 2006-02-16 |
Last Update Date | 2023-11-11 |