| NPI | 1346668506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI MD-20589) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2018015284) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-06-02 |