| NPI | 1073747465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 072786) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01072101A) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2014-11-06 |