| NPI | 1992047617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MD D0087530) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0087530) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: VA 0101279680) | |
| 207W00000X Ophthalmology (Licence: VA 0101279680) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2026-03-23 |