| NPI | 1174594675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D67835) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101233570) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-08-21 |