NPI | 1932153293 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: DE C1-0006804) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: DE C1-0006804) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2017-04-28 |