| NPI | 1952833246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D93788) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.141933) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-04-16 |