NPI | 1700015716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME120847) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ R71638) |
Enumeration Date | 2009-07-11 |
Last Update Date | 2017-06-26 |