| NPI | 1285695940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: HI MD21900) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: HI MD21900) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: UT 7029008-1205) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2021-09-09 |