| NPI | 1588869945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D70539) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD 21986) |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2013-02-20 |