| NPI | 1871937870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-45039) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 56402) |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2025-02-04 |