| NPI | 1447361639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0015159) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD6020) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-02-20 |