| NPI | 1326332776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: ID M-15285) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 49026) |
| 207W00000X Ophthalmology (Licence: IN 01080410A) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: KY 49026) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-08-05 |