| NPI | 1932151644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE C1-0000625) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DE C10000625) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-04-19 |