| NPI | 1093828840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI MD9729) |
| Additional Taxonomies | 174400000X Specialist (Licence: HI MD 9729) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-01-23 |