| NPI | 1487218152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0103866) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2023-00567) |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2025-05-28 |