| NPI | 1477550580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0034014) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0034014) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2008-05-15 |