| NPI | 1578609962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D67740) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD P18478) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-02-19 |