| NPI | 1003078726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35120369) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 11013262A) |
| 207W00000X Ophthalmology (Licence: IN 01069548A) | |
| 207W00000X Ophthalmology (Licence: KY TP 754) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2012-11-26 |