| NPI | 1184853947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD-51178) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 069348) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2023-02-12 |