| NPI | 1437186350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0055106) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC CS9911225) |
| 207W00000X Ophthalmology (Licence: VA 0101222216) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2022-07-21 |