| NPI | 1003917402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01066189A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA 60122633) |
| 207W00000X Ophthalmology (Licence: CA A76921) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-12-02 |