| NPI | 1285613521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 14843) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 02002513A) |
| 207W00000X Ophthalmology (Licence: GA 061912) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2024-07-08 |