| NPI | 1346495348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0035429) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD18281) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2012-09-25 |