| NPI | 1356586549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A121231) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: HI MD-18421) |
| 207W00000X Ophthalmology (Licence: IL 036122238) | |
| 207W00000X Ophthalmology (Licence: NY 242003) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2023-04-14 |