| NPI | 1689610321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0037020) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D37020) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-07-07 |