| NPI | 1023273398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D74053) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME115632) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2013-07-08 |