| NPI | 1447239504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0069525) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DE C1-0009165) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2012-06-28 |