| NPI | 1003470352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-51271) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IA MD-51271) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-07-13 |