| NPI | 1124218698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D71351) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL 13382) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2024-10-12 |