| NPI | 1033375597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: KY 42959) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01066337) |
| 207W00000X Ophthalmology (Licence: KY R1169) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2022-07-21 |