| NPI | 1356381974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0046376) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD 174400000X) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-04-11 |