| NPI | 1891773719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0012644) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D12644) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2015-10-01 |