| NPI | 1275094435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-51649) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IA MD-51649) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-07-22 |