| NPI | 1962880393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-46107) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IA MD-46107) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2019-07-01 |