| NPI | 1598714909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 25642) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0097046) |
| 207W00000X Ophthalmology (Licence: VA 0101240205) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-06-08 |