| NPI | 1144215856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01020881) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036085856) |
| 207W00000X Ophthalmology (Licence: KY 33096) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2013-02-19 |