| NPI | 1689010779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD DO006165) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101036489) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |