NPI | 1588653703 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME32083) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME0032083) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2021-03-22 |