| NPI | 1104821966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01036414A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 36323) |
| 207W00000X Ophthalmology (Licence: AL 00010857) | |
| 207W00000X Ophthalmology (Licence: CO 23447) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2016-01-08 |