| NPI | 1043205271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101251878) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01054140A) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2013-12-14 |