| NPI | 1386139673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A181371) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D98025) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2024-09-27 |