| NPI | 1134462450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: TN 55515) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 55515) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2018-03-22 |