| NPI | 1326083585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 44656) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01048170A) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2023-10-17 |