| NPI | 1215117296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A96850) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301094206) |
| 207W00000X Ophthalmology (Licence: CA A96850) | |
| 207W00000X Ophthalmology (Licence: IN 01068759A) | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2024-03-21 |