| NPI | 1245354109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD436028) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01065095A) |
| 207W00000X Ophthalmology (Licence: MD D0069495) | |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2013-01-16 |