| NPI | 1093923385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 34009598) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD H0066089) |
| 207W00000X Ophthalmology (Licence: VA 0102202008) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2017-02-21 |