| NPI | 1316090350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 48868) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01064767A) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2021-05-15 |