| NPI | 1225484462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD P31586) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301109456) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |