| NPI | 1205254190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 58987) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: TN 58987) |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: TX R6836) | |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2019-05-01 |