| NPI | 1649238635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0036586) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DE C10002822) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2012-04-13 |