| NPI | 1255304788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D37074) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0037074) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2010-11-18 |