| NPI | 1447678487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MD D0086742) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0086742) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2020-03-02 |