NPI | 1558457317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME90955) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME0090955) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2022-07-21 |