| NPI | 1285154500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D96954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272403) |
| 207W00000X Ophthalmology (Licence: MA 288579) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-08-29 |